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AAPC CPC CHAPTER QUESTIONS WITH COMPLETE SOLUTIONS
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AAPC CPC CHAPTER QUESTIONS WITH COMPLETE SOLUTIONS AAPC CPC CHAPTER QUESTIONS WITH COMPLETE SOLUTIONS
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AAPC CPC CHAPTER 1 2024-2025 QUESTIONSWITH COMPLETE SOLUTIONS
What document is referenced to when looking for potential problem areas identified by
the government indicating scrutiny of the services within the coming year?:
A) OIG Compliance Plan Guidance
B) OIG Security Summary
C) OIG Work Plan
D) OIG Investigation Plan - CORRECT ANSWER C (Rationale: Twice a year, the OIG
releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work
Plan, potential problem areas with claims submissions are listed and will be targeted
with special scrutiny.)
What form is provided to a patient to indicate a service may not be covered by Medicare
and the patient may be responsible for the charges?:
A) LCD
B) CMS-1500
C) UB-04
D) ABN - CORRECT ANSWER D (Rationale: An Advanced Beneficiary Notice (ABN) is
used when a Medicare beneficiary requests or agrees to receive a procedure or service
that Medicare may not cover. This form notifies the patient of potential out of pocket
costs for the patient.)
Under HIPAA, what would be a policy requirement for "minimum necessary"? "
A) Only individuals whose job requires it may have access to protected health
information.
B) Only the patient has access to his or her own protected health information.
, AAPC CPC CHAPTER 1 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS
C) Only the treating provider has access to protected health information.
D) Anyone within the provider's office can have access to protected health information. -
CORRECT ANSWER A (Rationale: It is the responsibility of a covered entity to develop
and implement policies, best suited to its particular circumstances to meet HIPAA
requirements. As a policy requirement, only those individuals whose job requires it may
have access to protected health information.)
Which statement describes a medically necessary service? :
A) Performing a procedure/service based on cost to eliminate wasteful services.
B) Using the least radical service/procedure that allows for effective treatment of the
patient's complaint or condition.
C) Using the closest facility to perform a service or procedure.
D) Using the appropriate course of treatment to fit within the patient's lifestyle. -
CORRECT ANSWER B (Rationale: Medical necessity is using the least radical
services/procedure that allows for effective treatment of the patient's complaint or
condition.)
According to the example LCD from Novitas Solutions, which of the following conditions
is considered a systemic condition that may result in the need for routine foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weakness - CORRECT ANSWER C (Rationale: According to the LCD,
Chronic venous insufficiency is a systemic condition that may result in the need for
routine foot care.)
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